Incidence of Burnout Experience Towards Work Among Staff Nurses of Cotabato Regional and Medical Center A Thesis Presented to the Faculty of Cotabato Medical Foundation College,Inc. In Partial Fulfillment of the Requirements for the Bachelor of Science in Nursing
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Incidence of Burnout Experience Towards Work Among Staff Nurses of Cotabato Regional and Medical Center
A Thesis Presented to the Faculty of
Cotabato Medical Foundation College,Inc.
In Partial Fulfillmentof the Requirements for the
Bachelor of Science in Nursing
Pamela Joy A. CabreraOctober ,2013
Chapter I
INTRODUCTION
Burnout, a term heard with increasing frequency these days, is
becoming a prominent fact of life in the fast-paced and stress-filled
21stcentury. People in all walks of life are experiencing burnout, and many
end up losing their jobs, their health, and sometimes their families because of
it. Some even commit suicide as a way of escape. Since almost everybody
will experience burnout to a certain degree in some stages of life, one may
ask what exactly burnout is, what the warning signs are, how to deal with it
and what can be done in order to prevent it.
Nevertheless, work stress and burnout remain significant concerns in
nursing, affecting both individuals and organizations. For the individual nurse,
regardless of whether stress is perceived positively or negatively, the
neuroendocrine response yields physiologic reactions that may ultimately
contribute to illness. In the health care organization, work stress may
contribute to absenteeism and turnover, both of which detract from the
quality of care. Hospitals in particular are facing a workforce crisis. The
demand for acute care services is increasing concurrently with changing
career expectations among potential health care workers and growing
dissatisfaction among existing hospital staff. By turning toxic work
environments into healthy workplaces, researchers and nurse leaders
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believe that improvements can be realized in recruitment and retention of
nurses, job satisfaction for all health care staff, and patient outcomes
particularly those related patient safety.
The aim of this study is to determine the incidence of burnout among
staff nurses of Cotabato Regional and Medical Center. Since the said
hospital, is one of the busiest hospitals in the city, therefore, nurses are
prone to burnout. This could benefit the nursing staff of the said institution
and this could also be a great help in handling burnout incidence.
Statement of the Problem
This research aimed to determine the incidence of burnout towards work
among staff nurses of Cotabato Regional and Medical Center.
Specifically, it sought to answer the following questions:
1. What is the demographic profile of the respondents in terms of:
1.1 sex
1.2 age
1.3 marital status
1.4 length of service in years
1.5 area of assignment
1.6 number of hours worked in a week ( including overtime )
1.7number of patients handled in a week
3
2. What is the Incidence of Burn-out experience towards work among the
Respondents in terms of:
2.1 psychological stress
2.2 physical stress
2.3 emotional stress
Theoretical Framework
This study is anchored on the Theory of Hans Selye, a pioneer in the
study of stress and disease, described stages of adaption to a stressful
event: alarm, resistance, and exhaustion. In the alarm stage, the body
senses stress and the CNS is aroused. The body releases chemicals to
mobilize the fight-or-flight response. Epinephrine and nor epinephrine, along
with other hormones causes an increase in heart rate, increased force of
heart contractions, increased oxygen intake, and increased mental activity.
The release of these substances is the adrenalin rush associated with panic
or aggression. In the resistance stage, the body either adopts and achieves
homoestasis (which lead to recovery) or fails to adopt and enters the
exhaustion stage, resulting in disease.
Supported by Betty Neuman’s adaptation theory (Neuman and
Fawcett, 2002), a community health nurse and clinical psychologist,
developed a model based on the individual’s relationship to stress, the
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reaction to it, the reconstitution factors that are dynamic in nature.
Reconstitution is the state of adaption to stressors. Neuman categorizes
stressor as intra-personal stressors those that occur within the individual;
interpersonal stressors, those that occur between individuals; and extra
personal stressors, those that occur outside the person. The individual’s
reaction to stressors depends on the strength of the lines of defense. When
the lines of defense fail, the resulting reaction depends on the strength of the
lines of resistance. As part of the reaction, a person’s system can adopt to a
stressor, an effect known as reconstitution.
Lazarus Transactional Stress Theory encompasses a set of cognitive,
affective, and adaptive coping responses that arise out of person-
environment transactions. The person and the environment are inseparable;
each affects and is affected by the other. Lazarus “referred stress to any
event in which environmental demands, internal demands, or both tax or
exceed the adaptive resources of an individual, social system, or tissue
system.” The individual responds to perceived environmental changes by
coping responses.
5
Conceptual Framework
Independent Variable Dependent Variable
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Figure 1: Shows the variables considered in the study of Incidence of Burnout Experience Towards Work among Staff Nurses of Cotabato Regional and Medical Center.
In many situations in our daily lives, often find ourselves experiencing
burnout, suppressing feelings and displaying a more socially accepted
emotion. Indeed burnout literature, substantial research in this field
addresses unfavorable outcomes. This study anchored on the Theory of
Hans Selye, Betty Neuman and the Theory of Lazarus. This study
conceptualizes that the incidence of burnout experienced towards work of
staff nurses of Cotabato Regional and Medical Center is the independent
variable and the dependent variable in terms of their burnout experienced,
are psychological stress, the physical stress and the emotional stress.
General Adaptation Syndrome Theory
Transactional Stress Theory
Adaptation Theory
Incidence Burnout experience in terms of:Psychological stressPhysical stressEmotional stress
6
Assumption
This study assumed that staff nurses have a different burnout
experiences towards work regarding stress that may affect them.
Scope and DeLimitation of the Sudy
This study is focused on the incidence of burnout experiences towards
work among staff nurses of Cotabato Regional and Medical Center. The
main respondents of the study are the staff nurses in this hospital.
Significance of the Study
This study is significant to the following population:
To the staff nurses, that they should be aware of their strengths and
weaknesses; be open and willing to learn and change for health care.
improvement of self, the quality of nursing care, and of the profession. To
have better understanding and appreciation of their legitimate and social
roles and functions for them to maximize their effort in providing quality
nursing care.
To the patients, that they may receive quality services and achieve
satisfaction;
To the hospital administrators, to have a better insight into the
stress management of nursing personnel in relation to the hospital’s
standards of health care.
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To the researcher the finding of this study serves as their reference
on formulating this study.
To the future researchers, that they may utilize this study as basis
and references if they are planning to conduct similar study.
Definition of Terms
For the clarity of terms used in this study, the following are defined
operationally.
Burnout Experience. It refers to prolonged stress at work resulting from a
variety of stressors that either individually or together lead the nurse to
experience burnout.
Cotabato Regional and Medical Center. It refers to the tertiary hospital
where the research will be conducted.
Emotional stress. It refers to a condition which occurs when a person is
under stress affecting their emotions.
Incidence. It refers to the rate or range of occurrence of influence or
something.
Physical stress. It refers to relating to the body as distinguished from the
mind or spirit.
Psychological stress. It refers to what people feel when they are under
mental, physical or emotional pressure.
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Staff Nurse. It refers to a Registered Nurse who was currently employed in
this hospital.
Work. It refers to what staff nurses do their job.
Chapter II
REVIEW OF RELATED LITERATURE AND STUDIES
This chapter presents pertinent reading and studies taken from books,
electronics, journals, published and unpublished articles, these dissertations.
This theories, concept and resources are significantly.
Burnout
Burnout is a psychological term for the experience of long-term
exhaustion and diminished interest. Research indicates general
practitioners have the highest proportion of burnout cases; according to a
recent Dutch study in Psychological Reports, no less than 40% of these
experienced high levels of burnout. Burnout is specified as a “State of vital
exhaustion” under "Problems related to life-management difficulty"
The term can be used to refer to different parts of lives, but usually is
in reference to one’s work life. Burnout may be seen by coworkers as the
effects of personal conflict or the lack of enjoyment of one’s job (Maxfield,
2005). Sadovich, 2005 has found that work excitement effects burnout. This
assessment may be correct; yet, true burnout goes much deeper. Stress in
the workplace does affect one’s personal stress levels just as stress in one’s
Table 7 reflects the frequency and percentage distribution of staff
nurses according to number of patients handled in a week. It reveals that 23
staff nurses handling 1-30 patients in a week with a percentage of 25.3. It is
followed by 17 staff nurses handling 120-150 patients with a percentage of
18.7.Then, followed by 15 staff nurses handling 61-90 patients in a week
with a percentage of 16.5. For 13 staff nurses handling 91-120 patients in a
week with a percentage of 14.3. Then 10 staff nurses handling 31-60 patients
in a week with a percentage of 10.9. For 9 staff nurses handling 151-180
patients in a week with a percentage of 9.9. Nevertheless, For the 4 staff
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nurses handling 181-210 patients in a week with a percentage of 4.4. Nurses
with the most patients were twice as likely to be burned out as those with the
least patients, confirming the significance of staffing levels on nurse
satisfaction. (Billeter-Koponen, (2005)
Table 8
Frequency and Mean Distribution of the Incidence of Burnout Experienced of Staff Nurses in terms of Psychological Stress
Psychological Stress N S A Mean Interpretation1.Felt anxious when stressed 13 78 0 1,85 Sometimes2. Anger arise when stressed 33 44 14 1.79 Sometimes3. Feel depress when stressed 78 5 8 1.23 Never4. Feel easily embarrassed when stressed 73 14 4 1.24 Never5. Forgetfulness occur when experiencing stress 28 49 14 1.84 Sometimes6. Able to concentrate with what is doing; when feel stress 14 63 14 2.0 Sometimes7. Feel hopeless when in stress 3 88 0 1.96 Sometimes8. Turn to work or other substitute activities to occupy mind on things
76 14 1 1.17 Never
9. Stress causes a low self-esteem 90 1 0 1.0 Never10. Feel psychologically drained 74 16 1 1.19 Never11. Feel weak when stressed 17 61 13 1.95 Sometimes12. Feel easily tired when stressed 7 71 13 2.06 Sometimes13. Feel stress when noisy environment trigger 30 58 3 1.70 Sometimes14. Feel stress when seeing schedule of duty 0 80 11 2.12 Sometimes15. Maintain balance between professional and personal
0 9 82 2.90 Always
Grand Mean 1.73 Sometimes
Table 8 states frequency and mean distribution of the incidence of
burnout experienced towards work among staff nurses of Cotabato Regional
and Medical Center in terms of psychological stress. It reveals that staff
nurses maintaining balance between professional and personal got the
highest mean which is 2.90 described as always; With regard to the staff
nurses experiencing stressed seeing scheduled of duties It then got the
mean of 2.12 and described as sometimes; Next to it is the mean of 2.06
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which indicates that the staff nurses do sometimes experienced feeling tired
and stressed; Furthermore it also shows that sometimes the staff nurses able
to concentrate with what is doing when feel stressed with the mean of 2.0;
However it reveals that the staff nurses sometimes experienced hopeless
when in stress as it gets 1.96 mean; Then 1.95 mean which indicates that
they sometimes experienced weak when stressed; Also, they Feeling
anxious when stressed described as sometimes and it then got the mean of
1.85; They sometimes experienced forgetfulness when stressed and it has
1.84 mean; Apparently, the staff nurses sometimes experienced anger when
stressed as it gets the mean which is 1.79; Next to it is the mean 1.70 which
shows that staff nurses sometimes experienced stress when noisy
environment trigger; Then 1.24 mean which indicates that they never easily
embarrassed when stressed; Furthermore it also shows they never
experienced depression when stressed as it has the mean of 1.23; Also the
staff nurses turn to worked or other activities to occupy mind on things which
is supported by the mean of 1.17 and described as never; On the other hand
the staff nurses never experienced psychologically drained and it has the
mean of 1.16; Lastly they never experienced stressed that causes a low self-
esteem with the mean of 1.01.
Generally, the grand mean in this table is 1.73. It only shows that the
staff nurses do sometimes experienced in terms of psychological stress.
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Burnout causes feelings of depression, fatigue, loss of sense of humor,
dissatisfaction, and ability to be alert and learn (Billeter-Koponen & Fredén,
2005).
Table 9
Frequency and Mean Distribution of the Incidence of Burnout Experienced of Staff Nurses in terms of Physical StressPhysical Stress N S A Mean Interpretation1 .Engage in physical activities 16 68 7 1.90 Sometimes2. Maintain therapeutic relationship with clients 0 0 91 3.0 Always3. Set realistic goals for self 0 2 89 2.97 Always4. Take direct action to get around the problem 0 5 86 2.94 Always5. Restrain myself from doing anything too quickly 0 70 21 2.23 Sometimes6. Provide care round the clock 0 1 90 2.98 Always7. Work the same shift versus Different shifts 0 75 16 2.17 Sometimes8. Create a healthy work environment 0 1 90 2.98 Always9. Ensure adequate staffing 1 1 89 2.96 Always10. Lack of recognition of good work 73 18 0 1..19 Never11. Maintain Sense of humor when stressed 3 71 17 2.15 Sometimes12. Maintain sense of control over work responsibilities
1 66 24 2.25 Sometimes
13. Feel stress when you lack of sleep 13 74 4 1.90 Sometimes14. Feel stress when physical pain occurs 19 69 3 1.82 Sometimes15. Feel headache when stressed 30 60 1 1.68 SometimesGrand Mean 2.34 Sometimes
Table 9 shows frequency and mean distribution of the incidence of
burnout experience towards work among staff nurses of Cotabato Regional
and Medical Center in terms of physical stress. It reveals that maintained
Therapeutic relationship with clients got the highest mean which is 3.0
described as always; with regard to Providing care round the clock the staff
nurses do always with the mean of 2.98; Also they always create a healthy
38
worked environment got the mean of 2.98; Howevever, Setting realistic goals
for self got the mean of 2.97 and described as always; They always ensure
adequate staffing and it has a mean of 2.96; Apparently the staff nurses do
always take direct action around the problem as it gets the mean which is
2.94; Next to it is the mean of 2.25 which indicates that the staff nurses do
sometimes maintained sense of control over work responsibilities; Then 2.23
mean which indicates that they sometimes restrained myself from doing
anything too quickly; Furthermore it also shows that the staff nurses
experienced work the same shift versus different shifts with the mean of 2.17;
Also, they sometimes maintained sense of humor when stressed and it then
get the mean of 2.15; With regard to the staff nurses they engaged in
physical activities it then got the mean of 1.90 and described as sometimes;
They sometimes experienced stress when you lack of sleep and it has 1.90
mean; Also, they sometimes experienced stress when physical pain occurs
and it then get the mean of 1.82; On the other hand the staff nurses
sometimes experienced headache when stressed and it has the mean of
1.68; Nevertheless, they sometimes experienced lack for recognition for
good work as it gets the mean of 1.14.
Overall, the grand mean in this table is 2.34; it only shows that staff
nurses do sometimes experienced burnout in terms of physical stress.
Burnout results in poor work performance and severe mental and physical
39
symptoms such as mental and physical exhaustion, feelings of
hopelessness, poor health in general, boredom, and low self-esteem
(Altun,2002).
Table 10
Frequency and Mean Distribution of the Incidence of Burnout Experienced of Staff Nurses in terms of Emotional StressEmotional Stress N S A Mean Interpretation1.Have a less ability to Handle emotions 11 80 0 1.87 Sometimes2. Feel emotionally drained 90 1 0 1.01 Never3. Force myself to stay calm even though feel angry deep inside
4 86 1 1.96 Sometimes
4. Try to get emotional support from friends and relatives
1 88 2 2.01 Sometimes
5. Have so much to do on my job that in takes me away from my personal interest
2 88 1 1.98 Sometimes
6. Pretend to be happy even though feel sad deep inside
57 34 0 1.37 Never
7. Have enough time to do what is important on my job
0 80 11 2.12 Sometimes
8. Feel exhausted at work 0 12 79 2.86 Always9. Covered up true feelings when dealing with patients feelings
0 91 0 2.0 Sometimes
10. Get upset and let my emotion out 72 19 0 1.20 Never11. Feel stress when their are problems at home arises
1 90 0 1.98 Sometimes
12. Feel stress when emotional pain occurs 7 84 0 1.92 Sometimes13. Experience palpitation when stressed 82 9 0 1.09 Never14. Maintain professional Identity and values 0 20 71 2.78 Always15. Maintain self-awareness and self monitoring 0 19 72 2.79 AlwaysGrand Mean 1.92 Sometimes
The Table 10 indicates frequency and mean distribution of the
incidence of burnout experience towards work among staff nurses of
Cotabato Regional and Medical Center in terms of psychological stress. It
reveals that experienced exhausted at work got the highest rank which mean
40
is 2.86 described as always; With regard to the staff nurses maintained self-
awareness and self-monitoring it then got the mean of 2.79 and described as
always; Next to it is the mean of 2.78 which indicates that the staff nurses do
always Maintained professional identity and values; Furthermore it also
shows that the staff nurses have enough time to do with what is important on
my job with the mean of 2.12 described as sometimes; However, it reveals
that the staff nurses sometimes tried to get emotional support from friends
and relatives as it gets 2.01 mean; Then 2.0 mean which indicates that they
sometimes covered up true feelings when dealing with patients; Also, they
have so much to do on the job that it takes away from my personal interest
described as sometimes and it then get the mean of 1.98; They sometimes
experienced stress when there are problem at home arises and it has 1.98
mean; Apparently, the staff nurses sometimes forced myself to stay calm
even though feel angry deep inside as it gets the mean which is 1.96; Next to
it is the mean 1.92 which shows that staff nurses sometimes experienced
stress when emotional pain occurs; Then 1.87 mean which indicates that
they sometimes have less ability to handle emotions; Furthermore it also
shows that the staff nurses pretending to be happy even though feel sad
deep inside with the mean of 1.37; Also, they experienced upset and let my
emotion out described as never and it then get the mean of 1.20; In addition
to that, staff nurses experienced palpitation when stressed got the mean of
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1.09 which mean that they only experienced sometimes; Lastly, they never
experienced emotionally drained got the lowest mean of 1.01.
In this table, the grand mean is 1.92, reveals that Incidence of burnout
experienced by staff nurses of CRMC they sometimes encountered in terms
of emotional stress. Burnout is frequently related to emotional feeling. For
example, main components of the burnout syndrome include exhaustion and
depersonalization. Another major component of burnout is feelings related to
personal achievements (Taormina, 2000)
Table 11Incidence of Burnout Experienced towards Work among staff nurses of
CRMC in terms of:Mean Interpretation
Psychological Stress 1.73 Sometimes
Physical Stress 2.34 Sometimes
Emotional Stress 1.92 Sometimes
Grand Mean 1.99 Sometimes
Table 11 reveals the summary on the incidence of burnout
experienced towards work among staff nurses of Cotabato Regional and
Medical Center. It shows that the Incidence of burnout experienced by staff
nurses in terms of physical stress is sometimes as indicated by a mean of
2.34. Next is emotional stress gives a mean of 1.92 and described as
42
sometimes. Then, Psychological stress a mean of 1.73 and describe as
sometimes.
Overall, the grand mean is 1.99. It only shows that staff nurses
sometimes experienced burnout of worked in Cotabato Regional and Medical
Center.
Chapter V
Summary, Conclusion and Recommendation
This chapter presents the summary of the study, findings of the study,
conclusions derived from the study and recommendation based on the
findings and conclusions.
Summary of the Study
This study aimed to find out the Incidence of Burnout experience
towards work among staff nurses of Cotabato Regional and Medical Center.
Specifically, this study sought to answer the following questions.
1. What is the demographic profile of the staff nurses in terms of:
a. sex
b. age
c. marital status
d. length of years in service
e. area of assignment
f. number of hours worked in a week (including overtime)
g. number of patients handled in a week
2. What is the Incidence of Burnout Experienced towards work among staff
nurses in terms of:
a. psychological stress
b. physical stress
c. emotional stress
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Findings of the study
The following where the findings of the study conducted:
1. The demographic profile of the staff nurses is presented in the study. It
reveals that majority of the staff nurses are females (65%); majority of the
staff nurses are 29-33 years of age and 34-38 years of age (27%); majority of
them are married (60%); majority of them are 6-10byears in service (26%);
majority of them are in emergency room department; majority of them worked
at 56-65 hours in a week including overtime (48%); majority of them have 23
number of patients handled in a week (25.2%) and they are selected as total
enumeration.
2. Moreover, the incidence of burnout experienced towards work among staff
nurses in terms of psychological stress reveals a mean of 1.73 which is
described as sometimes, with regard to physical stress it indicates a mean of
2.33 which is describe as sometimes. As for emotional stress it signifies a
mean of 1.92 which is describe as sometimes.
Conclusions:
Based on the findings presented and discussed in this study the
researcher concluded that the incidence of burnout experience towards work
among staff nurses of CRMC indicates a grand mean of 1.99 which
corresponds of its experienced as sometimes.
45
Recommendations:
After drawing the conclusion based on the findings of the result of the
study, the researcher highly recommends the following:
To the Staff Nurses. This study recommends to the staff nurses that they
should have self-evaluation of their strengths and weaknesses to evaluate
their strong and weak points for individual efficiency. This will be beneficial
for their own self improvement and for the betterment of quality nursing care
that standard to their profession
To the Patients. This study recommends to the patients that in return they
may be considerate also of the nurse’s feelings most especially during busy
times at work; or they should not overact or over seek nurses attention and
they will understand that there are also other patients needing the nurse’s
care in the hospital.
To the Hospital administrator. This study recommends to the hospital
administrator that they should have a better insights into the stress
management of nursing personnel of the hospital should conduct a regular
performance evaluation with the staff nurses for individual improvement.
To the Future Researcher.This study recommends to the future researcher
that they may be able to study the Incidence of burnout experienced of staff
46
nurses in other hospitals aside from Cotabato Regional and Medical Center
hospital in Cotabato City. And they should include in the research instrument
the coping management that they may be able to come up with a widely
acceptable theory about burnout of a staff nurses to possess. And this study
may serve as their source in their research.
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A Professional Nurse............................................................... 24
Synthesis ....…………………………………………….…….......25
Chapter III METHODOLOGY
Research Design .............………………………………………. 26
Respondents of the Study .....………………………………….. 26
Research Locale.........................………………………….........27
Sampling Technique…………………………………………...... 27
Research Instruments ..……………………………………….... 28
Research Procedure................................................................28
Statistical Treatment .………………………………………........29
Chapter IV PRESENTATION, ANALYSIS, AND NTERPRETATION
OF DATA ………………………………………………….….......30
Chapter V SUMMARY, CONCLUSIONS, RECOMMENDATIONS
Summary of the Study ...………………………………………... 42
Findings of the Study ..………………………………………......43
Conclusions ...……………………………………………………. 44
Recommendations ....………………………………………….... 45
BIBLIOGRAPHY
APPENDICES
A. Letter to the Chief of Hospital
B. Letter to the Respondents
C. Research Instrument
CURRICULUM VITAE
LIST OF TABLES
Table Pages
1 Frequency and Percentage Distribution of the Staff Nurses
According to Gender…………………………………………………..........30
2 Frequency and Percentage Distribution of the Staff Nurses
According to Age………….……………………........................................ 30
3 Frequency and Percentage Distribution of the Staff Nurses
According to Marital Status……….………………………………….....…. 31
4 Frequency and Percentage Distribution of the Staff Nurses
According to Length of Years in Service................................................. 31
5 Frequency and Percentage Distribution of the Staff Nurses
According to Area of Assignment............................................................32
6 Frequency and Percentage Distribution of the Staff Nurses
According to Number of Hours Worked in a week (including overtime).. 33
7 Frequency and Percentage Distribution of the Staff Nurses
According to Number of patients Handled in a week............................. 34
8 Frequency and Mean Distribution of the Incidence of Burnout
Experienced of Staff Nurses in terms of Psychological Stress............. 35
9 Frequency and Mean Distribution of the Incidence of Burnout
Experienced of Staff Nurses in terms of Physical Stress...................... 37
10 Frequency and Mean Distribution of the Incidence of Burnout
Experienced of Staff Nurses in terms of Emotional Stress.................... 39
11 Incidence of Burnout Experienced towards Work among Staff
Among Staff Nurses of Cotabato Regional and Medical Center.......... 41
APPENDIX A
LETTER TO THE CHIEF OF HOSPITAL
Cotabato Medical Foundation College Inc.Midsayap ,Cotabato
Dr. Helen P. Yambao, MD, FPOG, FSGOPChief of Hospital IIICotabato Regional and Medical CenterCotabato City
Thru: Jorge L. Padilla, MD Research Committee Chairman Cotabato Regional and Medical Center
Dear Doctor/ Ma’am:
Greetings of Peace.
I, the undersigned fourth year nursing student of the College of Nursing, Cotabato Medical Foundation College, Inc, and currently undertaking the study entitled “Incidence of Burnout Experience Towards Work Among Staff Nurses of Cotabato Regional and Medical Center”, would like to ask permission to conduct a survey from your institution. The staff nurses of different wards will be our respondents in the said study.
Rest assured that all data will be dealt with utmost care and confidentiality.
Thank you and God bless!
Respectfully yours,
Pamela Joy A. CabreraThe Researcher
Noted by:
Dr. Romulo M. Garcesa Mrs. Edelweiss P. Jaum, RM, RN,MAN Adviser Dean of College of Nursing
APPENDIX B
LETTER TO THE RESPONDENT
Dear Sir/ Maam:
Good day!
I, a student of College of Nursing, Cotabato Medical Foundation College, Inc, and currently conducting a research study entitled” Incidence of Burnout Experience Towards Work Among Staff Nurses of Cotabato Regional and Medical Center” would like to have a survey in your institution as part of the fulfillment of the requirements for the degree of Bachelor of Science in Nursing.
Rest assured, all information will be kept confidential.
Thank you very much for your cooperation and support.
Respectfully yours,
Pamela Joy A. Cabrera The Researcher
Noted by:
Dr. Romulo M. Garcesa Mrs. Edelweiss P. Jaum, RM, RN,MAN Adviser Dean of College of Nursing
------------------------------------------------------------------------------------------------------CONSENT FORM
I would like to signify my intentions to (please check the appropriate line below)
______ Participate in the said study
______ Not participate in the said study (Please state your reason for not participating)
_________________________ Name and Signature (optional)
APPENDIX C
Research Instrument
“Incidence of Burnout Experience Towards Work Among Staff Nurses of
Cotabato Regional and Medical Center”.
I. Demographic Profile of the Respondents. Your honest answers are
highly appreciated. Rest assured that all responses will be treated
confidentially.
Name: ____________________________ (Optional)
Sex: M [ ] F [ ] Age: ____
Marital Status:_____________
Length of Years in Service: ______ Area of assignment: __________
Number of hours worked in a week (including overtime ): _________
Number of patients handled in a week:______________________
II. Instruction. Please complete the following by encircling one
number that corresponds to your incidence of burnout in terms of
psychological stress, physical stress and emotional stress. The
rating scale ranges from;
3 – Always 2 – Sometimes 1 – Never
Psychological Stress 1 2 3
1. Felt anxious when stressed. 1 2 3
2. Anger arise when stressed 1 2 3
3. Feel depress when stressed. 1 2 3
4. Feel easily embarrassed when stressed. 1 2 3
5. Forgetfulness occurs when experiencing stress. 1 2 3
6. Able to concentrate with what is doing, when feel stress. 1 2 3
7. Feel hopeless when in stress 1 2 3
8. Turn to work or other substitute activities to occupy
mind on things. 1 2 3
9. Stress causes a low self-esteem. 1 2 3
10. Feel psychologically drained. 1 2 3
11. Feel weak when stressed. 1 2 3
12. Feel easily tired when stressed. 1 2 3
13. Feel stress when noisy environment trigger. 1 2 3
14. Feel stress when seeing schedule of duty. 1 2 3
15. Maintain balance between professional and personal lives. 1 2 3
Physical Stress
1. Engage in physical activities. 1 2 3
2. Maintain therapeutic relationship with clients. 1 2 3
3. Set realistic goals for self. 1 2 3
4. Take direct action to get around the problem. 1 2 3
1 2 3
5. Restrain myself from doing anything too quickly. 1 2 3
6. Provide care around the clock. 1 2 3
7. Work the same shift versus different shifts. 1 2 3
8. Create a healthy work environment. 1 2 3
9. Ensure adequate staffing. 1 2 3
10. Lack of recognition for good work. 1 2 3
11. Maintain sense of humor when stressed 1 2 3
12. Maintain sense of control over work responsibilities 1 2 3
13. Feel stress when you lack of sleep. 1 2 3
14. Feel stress when physical pain occurs. 1 2 3
15. Felt headache when stressed. 1 2 3
Emotional Stress
1. Have less ability to handle emotions. 1 2 3
2. Feel emotionally drained. 1 2 3
3. Force myself to stay calm even though
feel angry deep inside. 1 2 3
4. Try to get emotional support from friends and relatives 1 2 3
5. Have so much to do on my job that it takes me away
from my personal interest. 1 2 3
31 2
6. Pretend to be happy even though feel sad deep inside. 1 2 3
7. Have enough time to do what is important on my job. 1 2 3
8. Feel exhausted at work. 1 2 3
9. Covered up true feelings when dealing with
patient’s feelings. 1 2 3
10. Get upset and let my emotion out. 1 2 3
11. Feel stress when their are problem at home arises. 1 2 3
12. Feel stress when emotional pain occurs. 1 2 3
13. Experience palpitation when stressed. 1 2 3 14. Maintain professional identity and values. 1 2 3
15. Maintain self-awareness and self-monitoring. 1 2 3